RENTAL A PPLICATION
Property A ddress:
__________________________________
__________________________________
1320 W est B road S treet, S uite A R ichmond, V A 2 3220
804.358.1091 | f ax 8 04.358.8680
| w ww.clachanproperties.com
Broad S treet L ofts | 8 24 W . B road | 9 00 W . B road | T & E | 1 318 W . B road | 3 02 N . G oshen | G race @ M onroe
The J ewelry B uilding | P arkwood R ow T ownhomes | S mokehouse L ofts
Applicant ☐
Co-Signer ☐
Date:
Name:
SSN:
DOB:
First
MI
Last
Cell Phone:
(
)
Email:
Present Address:
No P.O. Box Numbers
Present Landlord:
Phone:
(
)
Rent:
(Name)
Will anyone occupying the premises require special accommodations?
Yes ☐
No ☐
(Name and Age)
(Name and Age)
(Name and Age)
(Name and Age)
(
)
Name
Relationship
Cell Number
Email Address:
Home Address:
Type
Breed
Weight
Type
Breed
Weight
Our properties are cat friendly. Limit of two (2) cats. A non-refundable fee of $250 and $20 per month per cat is required prior to housing cat(s).
Please contact our office with any questions regarding our pet policy.
Are you a student? YES ☐ NO ☐
If you are a student, no further information is needed to complete this rental application. You will be required to obtain a qualified co-signer.
Please have your co-signer return his/her application, application fee and proof of income.
Employer:
(Name)
(Address)
(Hire Date)
(Annual Salary)
(Office Phone Number)
Please submit proof of income with your rental application (3 most current paystubs, letter from employer, or tax return documents are acceptable)
I certify that the facts set forth in the RENTAL APPLICATION are true and complete to the best of my knowledge and belief. I understand that making a known false statement on this application
is grounds for denial, termination of lease and/or eviction. I consent that the information provided above may be verified, and I further authorize the owner or agent to investigate my residential
history, criminal background, employment history, and credit/financial references. All such information hereon will be kept confidential.
I agree that the required application fee(s) will not be refunded for any reason. I further agree that my Holding Fee/Security Deposit will be paid in full before occupancy and may not be applied as
rent; the first month’s rent must also be paid before occupying an apartment. If I decide not to move in after this RENTAL APPLICATION has been accepted, I agree that the Holding
Fee/Security Deposit will not be refunded. If I feel my RENTAL APPLICATION has been unfairly denied, I understand that I have the right to call the Property Manager at (804) 358-1091 to
request additional consideration. I understand that this is an application only, and I acquire no rights in any property until: 1) said application is approved, 2) required deposit has been paid, 3) a
lease has been signed. At that time, this application becomes part of the lease. I further understand that Clachan Properties, LLC/Thalhimer’s leases are “Joint & Several”, meaning all leaseholders
and co-signers are held individually responsible for 100% of the entire lease.
Applicant Signature: _______________________________________________
Date: ___________________
It is our policy to rent to qualified persons regardless of race, religion, sex, nation origin, handicap, familial status or elderliness (VA only) in compliance with all federal, state & local laws.
AGENCY D ISCLOSURE: M anagement h ereby d iscloses, p ursuant t o S ection 5 5-‐ 2 48.12 o f t he C ode o f V irginia ( 1950) a s a mended, t he a pplicable s ection o f t he V RLTA, a nd a ny a nd a ll o ther a pplicable f ederal o r s tate r egulations,
that T halhimer ( 11100 W . B road S t. G len A llen, V A 2 3060), i s t he a uthorized m anaging a gent f or t he l eased p remises.